抑郁对社区老年糖尿病患者的影响分析

The Impact of Depression on Old Diabetics in Community Setting

目的:通过调查、分析抑郁对社区老年糖尿病糖代谢控制、并发症及治疗依从性的影响,为社区老年保健和整体健康干预提供依据。方法:对社区86例60岁以上的2型糖尿病患者进行问卷调查,内容包括人口统计学资料、病情基本资料、治疗依从性状况和Beck抑郁自评量表(BDI)的调查。并测定其空腹血糖(FBG)、餐后2h血糖(2hPBG)和糖化血红蛋白(HbAlc)。结果:社区86例老年糖尿病患者中45.35％合并抑郁,其中轻度抑郁占33.72％,中度占9.30％,重度占2.33％;患者中非抑郁组和抑郁组的代谢控制、治疗依从性状况及并发症人数在统计学上均有显著差异(P<0.05),且抑郁程度越重糖代谢控制越差。结论:抑郁对糖尿病的治疗有着及其不利的影响,在社区范围内建立健全健康干预制度,不能忽视个体的心理治疗。

Objective: To analyse the impact of depression on glycemic metabolic control,complications state and medication compliance of old diabetics in a community so as to provide basis for healthy intervention. Methods: 86 old subjects with type 2 diabetes were invited to complete a questionnaire.The content include demographic data, diabetic history, medication compliance state as well as the Beck Depression Inventory (BDI). At the same time, the subjects must had their fasting blood glucose (FBG), post - prandial two - hour blood glucose(2hPBG) and HbA1c level measured. Results: 45.35 % of the total subjects accompanied by depression. Amid them, 33.72% had slight depression and 9.30% had moderate depression, while 2.33% had severe depression. In all the subjects, depression and non - depression groups had significant difference in metabolic control, medication compliance and the number of patients who have complications (P < 0. 05). Moreover the study indicated that glycemic control was significantly related to the severity of depression. Conclusion: Depression had notably disadvantageous effects on medication for diabetics. Practicians mustn't neglect psychological medication in healthy intervention.